title: Closure of a two-hole secundum atrial septal defect through a transthoracic atrial septal defect occlusion device.
abstract: A simple method to close a 2-hole secundum atrial septal defect (ASD) is described. The right atrium was approached through a minithoracotomy. A double-ring purse string suture was made for the introducer shaft of the ASD occlusion device, and another purse string was made for a slim tissue scissors. A slim tissue scissors was introduced to the right atrium, and the bridge of tissue between the 2 holes was cut. The maximum diameter of the neo-ASD was measured. Thus, the ASD occlusion device of appropriate size could be selected and be placed in position.
authors.affiliation: Cardiac Surgery Department, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.
authors.forename: Hui-Li
authors.initials: HL
authors.lastname: Gan
authors.forename: Chun
authors.initials: C
authors.lastname: Zhang
authors.forename: Jian-Qun
authors.initials: JQ
authors.lastname: Zhang
keywords: atrial septal defect; atrial septal defect occlusion device